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1989-407 4 i CERTIFICATE OF : CI JPANCY 'r TOWN OF CQUEENSBURY' f WARREN COUNTY, NEW YORK 3 Date July 19 19 817 This is to certify that work requested to be done m shown by Permit No. 89-407 I has been completed. i This structure may be occupied as a Muhl ]** kla_ Location Lot 45 Nartlhri nds 159 LU 2:CrVw. Rd Owner LaT]3t�h+�•- ��s } By Order Town Board NrOWN OF QUEEMSURY t Director of Bldg. cRc Cade Mnforcement w BUILDING PERMIT � TOWN OF QUEENSBURY No. 89-407 WARREN COUNTY, NEW YORK w 1 rU PERMISSION is hereby granted to LaWl ighter Homes �n OWNER of property located at Lot 45 Nortihwinds Street, Road or Ave. in the Town of Queensbury, To Construct or place a NOW 10 Home at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance_ 1 . OWNER'S Address is r' RD#2 Fort Edward , K . Y . 12828 rM m 2. CONTRACTOR or BUILDER'S Name S Sel f 3. CONTRACTOR or BUILDER'S Address Saute 4. ARCHITECT'S Name r c v 6. ARCHITECT'S Address Q w- 6. TYPE of Construction — (Please indicate by X) c V I ) Wood Frame I ) Masonry I ) Steel I 1 7_ PLANS and Specifications No. 14 ' x 70 ' Mobile Home as per plot plan and application . Serial #NTA 1 957- Manufacturer: Ritz Craft Corp . , Manufacturer serial 09118s Date of manufacture : B. Proposed Use Mobile Hone r r? a $ 35. 00 PERMIT FEE PAID — THIS PERMIT EXPIRES January 1 19 90 (if a longer period is required an application for an extension must be made to the Building aril Zoning inspector of the town of Queensbury before the expiration date.) Dated at the Town of Queensbury 9th D y of alone Rimi9 89 SIGNED BY for the Town of Queensbury Building and Zoning Inspector fj I TO DE COMPLETED RY nLLrC . DEPI'. KN -?Uwra u/ Q"4ee$syZsirr Application No. 6PsrauesBUILDINGBUILDING rnoZOn1an�G dCPAf#Ta.1LIVT 14' 14 OF Oay ano HISVilanU Road, R.D. 1 aox 08 Zoning Doasign Var.iance3 No. aation G?( IEENSBUF3Y Quuonsbury, Now York 12601 RECEIVED Site Plan Review .lUN APPLICATION FOR Appr +v w 7 $ MOBILE }SOME 13LDG. CODE DEFrr. PUILDING AND ZONING PERMIT t N * i 0 • * * * i A • i 0 ♦ • R er • • 4 �' ! • ♦ t ♦ ai ea w • .: • A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION * ANSWER ALL OF THE FOLLOWING . The underuignud hereby applies for a Building Permit to do the following work which will La dung iar accordanau with the description . plans and spucificationd uubauittad . and such ai�a cia+i condi.tiona an ukay be indicated on the Permit . r- The owner of this property is : Z ' -n r i/ Property Location , S n� .r �j rC, sue , ems! f iJA G vim' Tax Map No6 atrra.t r.Luubur or building lot nuurba r 42 :`LJjdivision name ( if applicable) 'I.11E Yf?RSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS 1 umaING CODES I'S a _g r '�"1 F1 „ ,tea G mm4 t? b 4�, , 717 .I._s.Ersr�. ,, °s / 2 d� P. O. Addra 4u ? Tul . Nov Name Of Inutaller Z. hddread Tel al.aaw ail F,lumlau r_.. /d_,,, j ^Addreuu Tal . Tl:eIaw of uraucsn / fx7` '° "" Ac> areun '1'ca1 . ma MOBILE HOME INFORMATION : ZONING INFORMATION : New 1101ne Placement f r A PLOT PLAN Mus'T pL pREpARED AND SUDMII"TED, drawn reasonably to scald and attached hereto, Replacing existing Home 't C> • ahOwIng cicwrly and diatinctly all buildings , �• w. �Y::GS.`•. ii r :w- w. +t i - ¢ xaaed and indicate � :�� 1•�•••= _ � . fit':} La. � a iij o�: ,t7i1Gx all " set-lock d1saunsicau from property liner . Give simile w ' 9e }( Double wide ` s,troac and nwnLur or lot n% ui6bur and indicatu No . of rooms ( excluding baths ) . � 'whuthe:r interior or corner lot . Show location r of water Supply and location and configuration No . n £ bedrooms • of wept is di upasal area . No . of bathrooms COMPLETE INFORMATION REQUIRED LIELOW4 Fireplace? Wood stove? " Size of property ft X //eJ ft . Foundation style and size : ~ EAiuting building ( u) Si. a £ t x ft . r Piers- No . of Size- •• ft x ft. * kxiasting building ( 5 ) Uaxa: Depth below grade ft . + FOUNDATIONAV i Footing size �� X ., 1'ropoaud buildiny $ diytancu frosa property line ,. Front yard �2 S ft Rear yard ft Wall material w Side yards ./ cs f,t and 3 / ft Wall thickness Height ft . . If an corner . aerdanck Prow old= atroaat ft Total depth below grade ft . OCCUPANCY INFOP14kTICIN Grade to Home floor level fits . PRIMARY BUILDING as * ■ w • w . . w r M M r w x w t s • • w �one Camily dwelling . T+rw,a family dwcsl l my ' Proposed data of placement/� ,r Mlultiplaa dwelling ,/ Number of unite Aprox . value, of liome $ t D , c • Permanent Occupancy it `Transient occupancy Water supply - Well ammmmmmmMunicipal ° llusinras /. pok -- 7'0 . Industrial Septic Permit required? fix , t 1r, , P. y Otha r S .? eT' �- If Additioaa , wlauc will usaa FARTHER INFORMATION REQUESTED ACCESSORY DUILDTHG- ON THE REVERSE SIDE OF THIS SHEET * * Detached garage/one car/ two car/ oar " mommummo Attached garage/one car/ two car/ car Private storage building '" Other 3 Form M11P 5 / 86 and - v1 I APPLICATION FOR MOBILE HOME PERMITS [ CONTINUED) State of New York Division of Housing and Community Renewal INSIGNIA OF APE KOVAL OF THE STATE BUILDING CODE le INSIGNIA SERIAL NUMBER- tj T 2 . NAME OF MANUFACTURER 17 if" 3 , PLANTrAPPROVAL NUMBER 4 . MODEL OR COMPONENT DESIGNATION 5 . MANUFACTURER ' S % SERIAL NUMBER // Ge DATE OF MANUFACTURE AZZ the above i. nf6rmation is to be found on a plate ov etiaker whiah should be affixed to the Mobile home . Complete -above i�i.th that information. a '� w R # .► w # # k w # ♦ w +► 4 # A +� - "A +! ' R * M # # # A A A ♦ A ♦ A is A # +1 Town of Qucensbury _ County of Warren A F F I D A V I T STATE OF NEW YORK = swear that to the best of my knowledge and belief the statements contained in this application , together with the plans and specifications submitted , aree a true and comPl ' te statement of all proposed work to be done on the described premises and that all provisions of the BUILOX"C crnnr 'ST! 7r�alur C`?.DIl;P. , and ail ochesr iawea pertaining to Lhe propoOvIzOsed ratheork shall be complied witho uhether spocifiesd or not, and that such work is authorized by the owner . ,�. signature !_= �' Ice r, owner • ■ age{yt nice ,arcc O +cost a a;; w w • a w a a a # a # # ,� / # a • # # # , ! # • # # # • # # # rr • a a • # • • # : • ♦ • # # - # SPECIAL CONDITIONS OF THE PERMIT : •r . . TOWN OF QU EENSBURY BUILDING AND CODES DEPART ENT BAY S HAVILAND ROADS ! J QUEENSBURYr NEW YORK I2e04ft TELEPHONE (518 ) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST POU TNSPECTXON RECEIVED NAME •^Sf�P r� 1L�� J �� -aL E'er LOCATION DATE APPROVED YES NO FOOTINGIPIERS MONOLITHIC POUR FORMS FOUNDATION IDAMP-PROOFING BACKFILL A ROVAL R©UGH PLUMB G FRAMING ELECTRICAL RO H-IN INSULATION: / FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION : CHIMNEY HEIGHT ROOFING SIDING EXTERNAL HES/.STEP _. STAIRS-CLE NCE & FAX PLUMBING XTURESIRELIEF . VALVE INTERIOR RIMIPRIVACY FINISHED FLOORS GARAGE F REPROOFING DOOR C SER (S) SMOKE D TECTORS FINAL EL TRICAL INSPECTION FINAL AP OVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE ,BUILDING DEPARTMENT BEFORE THESE PREMISES/ARE OCCUPIED ! REMARKS: eta p f IN VECTOR r r - is- Q b 'N i O TOWN OF QUEENSS ,& Zoning Arun ' , , , _.. Date Ca` �► — C V- u3 Q